What happens when you take Viagra and Cialis together at the same time - Daily News.
Sometimes men suffering from ED suppose, that they can become rock hard when “doubling” the effect of recommended to them Cialis or Viagra. Unfortunately, many men tried taking these drugs treating ED together, which is absolutely prohibited! Practically all men who buy one of these medications know that before taking any drug, the instructions should be read and a urologist must be visited. Meanwhile, as the weird accidents from taking both medications still happen, the following information should be read again.
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A longstanding challenge many urologists have faced, has been the treatment of erectile dysfunction (ED). Years ago medications for ED treatment, such as Viagra, came on the market which made it easier for patients suffering from erectile dysfunction to find relief. However, Viagra is one of the most short acting erectile dysfunction treatments and generally lasts approximately 6 to 8 hours. Years later, a medication came to the market by the name of Cialis, which generally lasts between 24 and 36 hours. Levitra, another erectile dysfunction medication, lasts approximately 18 hours. Most patients are surprised when they realize Cialis lasts up to 36 hours, Viagra lasts 6 to 8 hours or Levitra can last 18 hours.
It is a common misconception that patients believe during this period of time they will have an erection the entire time. This is false! Although when the patient takes the medication, it circulates in the body, the patient is generally in the flaccid state. It is during any sexual stimulation or intimacy when an erection can be easily achieved and maintained. It is important to remember to always use your medication under the supervision of your physician and be sure that you are aware of the side effects of the medication before you take it.

Shortness of breath? Learn more and get a better lung disease treatment plan with top experts. Visit our Online Expert Centers at https://diagnosticdetectives.com/expert-centers/
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- Pulmonary arterial hypertension treatment. You mentioned phosphodiesterase type 5 inhibitors. They are also used for erectile disfunction. Common medications are viagra, sildenafil, and there are other medications of that class. So they're also used to treat pulmonary arterial hypertension. What is a typical way how they are used for pulmonary arterial hypertension? Are they effective? There is probably a different dosing schedule of those medications? So phosphodiesterase 5 inhibitors are in the nitric oxide pathway. And nitric oxide response, which really is our most potent vasodilator, works through cyclic GMP. So all the phosphodiesterase 5 inhibitors do is keep that cyclic GMP around longer by preventing its breakdown. And within the same path now we also have a medication called Riociguat, which is a soluble guanylate cyclase stimulator. So it actually increases the amount of available cyclic GMP and works in parallel with nitric oxide or independently of nitric oxide in pulmonary arterial hypertension. These patients generally have inadequate NO production. So all of these drugs are vasodilators. There's probably some added benefit, although we don't fully understand yet how, as far as remodeling - both myocardial remodeling and vascular remodeling. But there's no way to know which patients are going to get the most benefit from each individual drug. But I would say from an efficacy standpoint they're all pretty equivalent in pulmonary arterial hypertension. We don't combine them, but as individual drugs they're all pretty equivalent.
- Are they used early in a therapy of pulmonary arterial hypertension, or when the first line therapy fails?
- No, they probably are now first line therapy. Certainly sildenafil and tadalafil are considered first-line therapy, because they're generally very well tolerated and they're easy to use and they've been around for a long time in pulmonary arterial hypertension. I think Riociguatis a little more complicated to use because there's titration involved and it has a little more broader FDA approval targeting. It includes chronic thromboembolic disease but otherwise it's probably equally effective in pulmonary arterial hypertension.
- Is the typical dosage [of PDE5 inhibitors in PAH] continuous or daily? Is it a smaller dose to compare with doses used for erectile disfunction indications?
- When we did the clinical trials in pulmonary arterial hypertension, we studied sildenafil at 20 milligrams, 40 milligrams and 80 milligrams, at 3 times per day. So the usual dose for erectile dysfunction is 25, 50 and 75 mg, and a 100 mg, "when you need it". So certainly during the clinical trial, before the drug was approved, we were using Viagra at those doses. So I think there's room for dose adjustment. The only dose that was approved was 20 milligrams three times a day. So from an insurance standpoint we might have a little difficulty changing dose. But we often do titrate the dose, and Tadalafilwe use it at 40 milligrams once a day.
- Every day? So with this frequent and fairly large dosing for pulmonary arterial hypertension treatment, as far as the cardiovascular side effects or other side effects, have you seen any major side effects? It's interesting, because the reason we went to these drugs are because phosphodiesterase 5 is predominantly localized to the vessels of the lung and the vessels of the penis. So we actually don't see a huge incidence of cardiovascular side effects. There are some patients whose blood pressure may be a little soft [low] with these drugs. But most patients with pulmonary arterial hypertension tolerate it quite well. I think the most important side effect that we see is headache, and it's not a bad headache. But it can be a nuisance. But it's usually readily responsive to simple things like Tylenol and aspirin or a non-steroidal anti-inflammatory medications.

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Erectile Dysfunction or simply ED affects more than 40% of men beyond age 40. Cialis produces results within 30-45 minutes when combined with sexual stimulation. Alternatively a smaller dose on a daily basis offers advantages for unplanned activities. The drug also may offer minor assistance to men with urinary difficulty due to an enlarged prostate. Cialis neither functions as an aphrodisiac nor as a treatment for premature ejaculation.

Farmaci low cost, sesso a prezzo basso: Viagra e Cialis alla portata di tutti
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Dec. 19 (Bloomberg) -- Bloomberg's Eric Chemi take a look at the two most popular erectile dysfunction medications on the market, Viagra and Cialis. Pfizer, the maker of Viagra, eliminated 20% of its sales workforce on December 18.

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I definitely would not call this standup comedy but it is a humorous speech...I Compare viagra vs. Cialis..I take erectile dysfunction stereotypes and I create jokes..Viagra jokes, Cialis Jokes. I hope you enjoy
Speech title: check that spam
This was a speech for toastmasters. It was for the humorous speech contest

How to naturally increase your testosterone and avoid or fix erectile problems:
👉http://drsam.co/yt/PerformanceBooster
Or watch this video about the 5 tips to get harder fuller erections:
https://www.youtube.com/watch?v=a4TFmyreo1Q
Refferences:
1. https://www.goodrx.com/cialis
2. https://www.accessrx.com/blog/erectile-dysfunction/viagra/cost-of-buying-viagra-at-cvs-walgreens-and-walmart-pharmacy/
3. https://www.accessrx.com/blog/erectile-dysfunction/3-reasons-why-viagra-may-not-work-and-what-to-do-about-it/
4. https://www.mdidea.com/products/new/new03806.html
5. Xanthoparmelia Scabrosa,X-Scabrosa:Natural Pyrazolo Pyrimidinone.Super PDE-5 Inhibitor and leader material in over-the-counter (OTC) sexual stimulants!
6. https://www.aarp.org/home-family/sex-intimacy/info-12-2013/sex-erection-viagra-castleman.html
#erection, #erectiledysfunction
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🍌💋🛌🏻 #1 Natural Alternative To Cialis
===============================================
Today I’m going to discuss the pros and cons of using Cialis. You’ll also discover how to make it work better, so you can use less and get more effects
And I’ll also reveal the #1 natural alternative to Cialis. A new discovery that actually works the same way as Cialis and similar drugs, but without any of the negatives.
No drugs or diets.
So if you want to improve your sex drive, optimize your hormones and increase blood flow for bigger, harder and fuller erections - so you can help avoid, reverse and fix “erectile problems”, then please watch this entire video.
The future of your “sexual performance” could depend on it!
Interesting History
Let’s begin with a quick history about Cialis.
First, this is a PDE5 inhibitor designed to treat erectile dysfunction. It’s also used to treat high blood pressure (pulmonary arterial hypertension) and benign prostatic hyperplasia (BPH).
What interesting is that this is the 3rd PDE5 drug. Viagra was the 1st and Levitra was the 2nd.
The main differences in these 3 drugs is that:
Viagra has the shortest half life of 4 hours and needs to be taken on an empty stomach
Levitra is a little longer with a 5 hour half-life. It’s more potent than Viagra, so a lower dosage is needed.
Cialis is the longest, with an 18 hour half-life and you can take it with food, even though empty stomach is better.
Levitra never gained much popularity… It’s very similar to Viagra, but milder in side-effects - but that’s only because a lower dosage is used..
However, when it comes the user preference, Cialis is a big winner simply because you don’t have to time it right before sex. You can take it in the morning and it’s in your system for a couple of days.
So, you’re ready to go the entire time.
However, keep in mind that Cialis is also SLOW to act and it does take a couple of hours to kick in, while Viagra takes only about 20-30 minutes.
Sex Is Expensive
Now, what’s crazy is that Cialis costs about $60 a pill. But hey, that’s cheaper than Viagra’s almost $75 a pill price.1.2
But, I get it. When a man can’t perform, he’ll do almost anything to make “it” work.
And yes, there are generic versions you can buy overseas which costs less, but they are typically under dosed or faked. You could lose your money and never get your order.
You’re also at risk with legal issues with the DEA, Customs, FDA and so forth.
But, who cares… anything to get an erection, right?...
The Side-Effects
Unfortunately, Cialis has bunch of negative side-effects… similar to Viagra, such as:
Headaches
Vision problems
Insomnia
Back pain
Sinus and nose problems
Nausea and stomach issues
Blood pressure issues
Heart and stroke problems
Liver and kidney issues
But for sex, I think most guys will put up with these side-effects. … at least temporarily.
Unfortunately, there are 3 main problems with Cialis and how well it works or doesn’t work
Cialis doesn’t work in about 40-50% of users… and I’ll tell you why in a minute and how this can be fixed.7 … Sadly, it works even LESS in men with diabetes, heart disease, high cholesterol or high blood pressure
Cialis doesn’t work as well in “older” men over the age of 40. Ironically, it works better and has less side-effects in younger guys who don’t really need it. I’ll also tell you how this can be fixed in a minute.
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How to make Natural Viagra at home (Works 100%)
In order to make your home made Viagra, first you will need the main ingredients which are commonly available in grocery stores and are very potent aphrodisiacs.
Everyone knows that Viagra is a powerful drug for men, used to enhance sexual function and performance, but very few people know the secret that it can also be made at home by using foods which are commonly available in grocery stores and are very potent aphrodisiacs.
These natural foods work very similar to Viagra when mixed together, and are perfect for both men and women.
In order to make your home made Viagra, first you will need the main ingredients which are watermelon and lemon. Watermelon contains various nutrients and has aphrodisiac properties which includes Citrulline and Lycopene. Do not use sugar, salt, spices or any other flavours which might reduce the effectiveness of the two main ingredients.
Chop the watermelon into small pieces and put the pieces into a juicer to obtain about one liter of watermelon juice. The white stuff inside the shell of watermelon is also very high in concentrated Citrulline and should not be wasted and need to be juiced.
Pour the juice into a pot and let it boil for few minutes then squeeze the lemon juice into the pot and mix it well with the boiling watermelon juice. Continue boiling until most of the liquid evaporate and the content in the pot reduce to about half.
Let it cool down for about an hour or so.Transfer the potion to a washed and cleaned glass bottle and store it in a cool and dry place such as refrigerator.
This powerful love potion works best when taken empty stomach, ideally early in the morning and before dinner and anywhere between 2 tablespoons to 1/3 of the cup, depending on the body weight and size. The mixture of the chemicals found in the watermelon and lemon juice aids in sending more blood flow to the private area for better performance and strength. This homemade Viagra is safe and effective for people of all ages and genders.

Most people believe that men's sexual performance and sexual function issues must be cured by medication, such as Viagra. However, a natural and home-made remedy is just as effective, if not better. That is because this remedy is made from aphrodisiacs, which encourages sexual feelings.
Here's how to make the homemade Viagra:
Ingredients:
- Freshly squeezed lemon juice
- Watermelon
Preparation:
- Cut the watermelon in tiny pieces.
- Blend the pieces of watermelon until you get watermelon juice, about a liter of it.
- Put the juice in a pot and boil it for several minutes.
- Add the lemon juice to the watermelon juice.
- Mix the juices well and boil until the whole amount reduces to a half.
- Set the mixture aside for an hour, so that it cools down.
- Pour the juice in a clean glass bottle.
- Store in the refrigerator.
Watermelon is great for your health. Specifically, for sexual health, it contains lycopene and citruline. Both of these nutrients are aphrodisiacs and improve your sexual performance.
When preparing to consume this mixture, be sure to limit your intake of sugars and salts, as they can reduce the effects.
Consume any amount of this drink, starting from 2 tbsp to 1/3 of a cup. This should be taken in the morning, on an empty stomach, or in the evening. When consumed on a regular basis, you will soon notice an increase in your sexual potency and performance. Both men and women, alike, can benefit from this drink, regardless of age.
Disclaimer: The materials and the information contained on Natural Cures channel are provided for general and educational purposes only and do not constitute any legal, medical or other professional advice on any subject matter. These statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease. Always seek the advice of your physician or other qualified health provider prior to starting any new diet or treatment and with any questions you may have regarding a medical condition. If you have or suspect that you have a medical problem, promptly contact your health care provider.
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The cost of Viagra is between $20 and $30 per pill. If you look at the cost over a period of time and the number of trips to the drug store RejuvaFlow™ is clearly the better option - you only have to visit a doctor every three months for treatment and you get so many other benefits from the procedure. It really is cost effective and non-invasive with no side effects. Patients are carefully screened, people that do not qualify for treatment are those with aortic or brain aneurysms. Overall the procedure is very safe.

A recently formed group of healthy 22 to 45 year-old California men have started online chat groups to share their sexual experiences with other men around the world (they all take viagra and cialis)
The sample group has been referred to as the Swagger Mens Health Club

Antidepressants are medications that can help relieve symptoms of depression, social anxiety disorder, anxiety disorders, seasonal affective disorder, and dysthymia, or mild chronic depression, as well as other conditions.
They aim to correct chemical imbalances of neurotransmitters in the brain that are believed to be responsible for changes in mood and behavior.
Depression Medications (Antidepressants)

These are the most commonly prescribed type of antidepressant.
Serotonin and noradrenaline reuptake inhibitors (SNRIs) are used to treat major depression, mood disorders, and possibly but less commonly attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety disorders, menopausal symptoms, fibromyalgia, and chronic neuropathic pain.
SNRIs raise levels of serotonin and norepinephrine, two neurotransmitters in the brain that play a key role in stabilizing mood.

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They are effective in treating depression, and they have fewer side effects than the other antidepressants.
SSRIs block the reuptake, or absorption, of serotonin in the brain. This makes it easier for the brain cells to receive and send messages, resulting in better and more stable moods.
They are called "selective" because they mainly seem to affect serotonin, and not the other neurotransmitters.